Active NPIIndividual providerSole proprietor

Nicole S Chiedjo, RN

Registered Nurse in Brockton, Massachusetts

NPI Number1063352110
Practice location
30 Palmer St, Brockton, MA 02301-3165
Fax
—
Last updated
March 30, 2026

Nicole Sede Chiedjo is a Registered Nurse based in Brockton, MA. Nicole Sede Chiedjo practices in Brockton, MA and has the professional credentials of RN. The NPI Number for Nicole Sede Chiedjo is 1063352110 and holds a License No. RN2349161 (MA). The current practice location address for Nicole Sede Chiedjo is 30 Palmer St, Brockton, MA 02301-3165 and can be reached out via phone at 704-904-9988.

Provider Profile Details

NPI Number
1063352110
Provider Name
Nicole Sede Chiedjo
Credential
RN
Provider Entity Type
Individual
Gender
Female
Address
30 Palmer St, Brockton, MA 02301-3165
Phone Number
704-904-9988
Primary Taxonomy
Registered Nurse · 163W00000X
Sole Proprietor
Yes
Provider Enumeration Date
March 30, 2026
Last Update Date
March 30, 2026
Certification Date
March 30, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
30 Palmer St
Brockton, MA 02301-3165
Zip
02301-3165
Phone Number
704-904-9988
Brockton, MA 02301Get directions →

Provider Business Mailing Address Details

Address
30 Palmer St
Brockton, MA 02301-3165
City
Brockton
State
MA
Zip
02301-3165
Phone Number
704-904-9988

License Information

License Number
RN2349161
License State
MA
Taxonomy
Registered Nurse · 163W00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Nicole S Chiedjo, RN?

The NPI number of Nicole S Chiedjo, RN is 1063352110. It was assigned on March 30, 2026 and is currently active in the NPPES registry.

What is the specialty of Nicole S Chiedjo, RN?

Nicole S Chiedjo, RN is registered under the primary taxonomy Registered Nurse (code 163W00000X), licensed in MA under license number RN2349161.

Where does Nicole S Chiedjo, RN practice?

The practice location is 30 Palmer St, Brockton, MA 02301-3165. The office can be reached at 704-904-9988 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1063352110 directly on the NPPES registry website.

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